Individual provider Active NPI

Nicole Pascual, ARNP

  • Family Nurse Practitioner
  • Cape Coral, FL
National Provider Identifier
1831487925
Registry record updated Jun 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP9227226 Issued in FL
Practice address
507 Cape Coral Pkwy E
Cape Coral, FL 33904
Phone
(239) 541-4420
Fax
(239) 541-4421
NPI assigned
Jul 11, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X ARNP9227226 FL
Family Nurse Practitioner 363LF0000X ARNP9227226 FL Primary

Addresses

Primary practice location

507 Cape Coral Pkwy E
Cape Coral, FL 33904

Mailing address

PO Box 2147
Fort Myers, FL 33902-2147
Phone (239) 541-4420

Other identifiers 1

IdentifierTypeStateIssuer
003830100MedicaidFL

Other names 1

  • Nicole Kauffman, Longton Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110816000747 FL Practitioner - Nurse Practitioner 6002085677 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nchmd IncGroup PAC ID 9436139565, 503 clinicians

Practice addresses (Care Compare)

24040 S Tamiami TRL
Bonita Springs, FL 34134-7040
Phone (239) 624-4443

Hospital & facility affiliations

  • Preferred Care Home Health Services Home health agency, Fort Myers, FL, CCN 109423
  • Pinnacle Home Care Home health agency, Fort Myers, FL, CCN 683113
  • Naples Community Hospital Hospital, Naples, FL, CCN 100018
  • Lee Memorial Hospital Hospital, Fort Myers, FL, CCN 100012
  • Cape Coral Hospital Hospital, Cape Coral, FL, CCN 100244

Merit-based Incentive Payment System (MIPS)

Final score
95.25 of 100Reported as apm
Quality
87.73
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Nchmd, Inc CurrentSince Feb 6, 2023 Accepting new patients
Landmark Hospital of Southwest Florida, LLC CurrentSince Feb 6, 2023 Accepting new patients

Locations

24040 Tamiami Trl
Ste 202
Bonita Springs, FL 34134
Phone (239) 624-0300

24040 Tamiami Trl
Bonita Springs, FL 34134
Phone (239) 624-7153

680 2nd Ave N
Ste 304
Naples, FL 34102
Phone (239) 261-7711

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1310342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686700800000",
    "number": "1831487925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2147",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339022147",
            "telephone_number": "239-541-4420",
            "fax_number": "239-541-4421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "507 CAPE CORAL PKWY E",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "33904",
            "telephone_number": "239-541-4420",
            "fax_number": "239-541-4421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PASCUAL",
        "first_name": "NICOLE",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-11",
        "last_updated": "2023-06-14",
        "certification_date": "2023-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP9227226",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9227226",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003830100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "KAUFFMAN, LONGTON",
            "credential": "ARNP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Cape Coral, FL

Sources for this page

Verify at the official NPI Registry.